<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>Insert title here</title>
</head>
<body>
	<wicket:extend>	
		<div class="title" id="centerTitle">Регистрация</div>		
		<div>
			<form wicket:id="outputform">
				<div wicket:id="cpoint">
						<span class="forlabel"><label>Пункт</label></span>
						<select wicket:id="point"></select>
				</div>
				<br/>
				<div class="left_column" >					
				<ul class="forms">					
					<li>
						<span class="forlabel"><label>ФИО</label></span>
						<span wicket:id="clientfio"></span>
					
					</li>					
					<li>
						<span class="forlabel"><label>Вид</label></span>
						<select wicket:id="typetrans">							
						</select>
					</li>
					
					<li>
						<span class="forlabel">
							<label>Платежная система</label>
						</span>
						<select wicket:id="sprpaysystem">
						</select>
					</li>
					<li>
						<span class="forlabel">
							<label><span wicket:id="clientkorlabel">Получатель</span></label>
						</span>
						<input type="text" wicket:id="clientKor">
					</li>
					<li>
						<span class="forlabel">
							<label>Страна</label>
						</span>
						<select wicket:id="country">
						</select>
					</li>
					<li>
						<span class="forlabel">
							<label>Валюта</label>
						</span>
						<select wicket:id="sprval">
						</select>
					</li>
					
					
					<li>
						<span class="forlabel">
							<label>Валюта выдачи</label>
						</span>
						<select wicket:id="sprvalout">
						</select>
					</li>				
					
				</ul>
			</div>
			<div class="right_column" >
				<ul class="forms">				
					<li>
						<span class="forlabel"><label>Паспорт</label></span>
						<span wicket:id="clientcert"></span>					
					</li>
					<li>
						<span class="forlabel">
							<label>Сумма</label>
						</span>
						<input type="text" wicket:id="summa">
					</li>
					<li>
						<span class="forlabel">
							<label>Сумма выдачи</label>
						</span>
						<input type="text" wicket:id="summaout">
					</li>
										
					<li>
						<span class="forlabel">
							<label>Комиссия</label>
						</span>
						<input type="text" wicket:id="comiss">
					</li>					
					
					<li>
						<span class="forlabel"><label>Назначение</label></span>
						<select wicket:id="sprnazn">							
						</select>
					</li>					
					<li>
						<span class="forlabel">
							<label>Код перевода</label>
						</span>
						<input type="text" wicket:id="kdp">
					</li>
					
				</ul>
			</div>	
			<div class="buttons"><button type="submit" wicket:id="save" >сохранить</button></div>		
		</form>
		<div class="left_column" >
			<div wicket:id="feedback" class="feedbackpanel"></div>
		</div>					
		</div>
		</wicket:extend>
    </body>
</html>